Healthcare Provider Details

I. General information

NPI: 1306513072
Provider Name (Legal Business Name): A LOVING TOUCH SUPPORT SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2021
Last Update Date: 08/30/2021
Certification Date: 08/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 FRONTAGE RD
CLERMONT FL
34711
US

IV. Provider business mailing address

PO BOX 1024
MINNEOLA FL
34755-1024
US

V. Phone/Fax

Practice location:
  • Phone: 352-708-5536
  • Fax: 352-708-5402
Mailing address:
  • Phone: 352-708-5536
  • Fax: 352-708-5402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: KATRINA BATTLE
Title or Position: OWNER
Credential:
Phone: 352-708-5536